James H Ellis1, Richard H Cohan. 1. Department of Radiology, University of Michigan Health System, University Hospital, Ann Arbor, 48109-5030, USA.
Abstract
OBJECTIVE: Contrast-induced nephropathy (CIN) remains poorly understood despite decades of investigation, and the criteria for diagnosis are variable. The purpose of this article is to discuss current controversies in contrast-induced nephropathy including its prevention. CONCLUSION: Patients with normal renal function are at exceptionally low risk for CIN. Patients with preexisting renal insufficiency appear to be at higher risk and precautionary maneuvers may be warranted in some of these patients; however, iodinated contrast material should not be withheld if a contrast-enhanced study is necessary and there is no alternative.
OBJECTIVE: Contrast-induced nephropathy (CIN) remains poorly understood despite decades of investigation, and the criteria for diagnosis are variable. The purpose of this article is to discuss current controversies in contrast-induced nephropathy including its prevention. CONCLUSION:Patients with normal renal function are at exceptionally low risk for CIN. Patients with preexisting renal insufficiency appear to be at higher risk and precautionary maneuvers may be warranted in some of these patients; however, iodinated contrast material should not be withheld if a contrast-enhanced study is necessary and there is no alternative.
Authors: Christina M Plank; Florian Wolf; Herbert Langenberger; Michael Weber; Dietrich Beitzke; Alfred Stadler; Martin Schillinger; Johannes Lammer; Christian Loewe Journal: Eur Radiol Date: 2011-05-10 Impact factor: 5.315
Authors: Paul R Vantine; Jessica K Rosenblum; William G Schaeffer; Kevin T Williams; David W Dockray; Jeffrey M Levsky; Linda B Haramati; Loren H Ketai Journal: Emerg Radiol Date: 2014-06-18